SearchNew York163WH0200X

Paula Diedrich

NPI 1316649494 · on the registry since 2023 · sole proprietor

Practice

Address
7421 64th St
Glendale, NY 11385
Phone
(917) 929-5455

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York